- Humana (Austin, TX)
- …quality management, utilization management, case management, discharge planning and/or home health or post acute services such as inpatient rehabilitation. ... **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical… more
- Evolent (Austin, TX)
- **Your Future Evolves Here** Evolent Health has a bold mission to change the health of the nation by changing the way health care is delivered. Our pursuit ... growth, and a great place to work? Definitely. Evolent Health International (Pune, India) has been certified as "Great...Nurse, you will be a key member of the utilization management team. We can offer you a meaningful… more
- HCA Healthcare (San Antonio, TX)
- …**Job Summary and Qualifications** **What qualifications you will need:** **Clinical Manager- Home Health ** + Responsible for the planning, coordination, and ... delivery of quality interdisciplinary home health care services. Will ensure compliance to federal/state standards and clinical best practices. **What you will… more
- HCA Healthcare (Tomball, TX)
- …a continuum through effective resource coordination to help patients achieve optimal health , access to care, and appropriate utilization of resources, balanced ... HCA Houston Healthcare Tomball, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and… more
- CenterWell (Austin, TX)
- …largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is ... **Become a part of our caring community and help us put health first** The Senior Strategy Advancement Professional provides data-based strategic direction to… more
- Houston Methodist (The Woodlands, TX)
- …discharge planning process on assigned units. + Initiates and facilitates referrals for home health care, hospice, and durable medical equipment. Consults with ... service lines. This position works with the physicians and interprofessional health care team to facilitate and maintain compassionate, efficient, quality care… more
- HCA Healthcare (Corpus Christi, TX)
- …a continuum through effective resource coordination to help patients achieve optimal health , access to care, and appropriate utilization of resources, balanced ... Corpus Christi Medical Center, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and… more
- HCA Healthcare (Corpus Christi, TX)
- …a continuum through effective resource coordination to help patients achieve optimal health , access to care, and appropriate utilization of resources, balanced ... Corpus Christi Medical Center, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and… more
- CenterWell (Austin, TX)
- …largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is ... part of our caring community and help us put health first** The Lead - Medicaid Customer Success oversees...internal partners and the Medicaid market to manage pharmacy utilization and spend + Manage escalated member, client and… more
- Houston Methodist (Houston, TX)
- …experience which could include physician's office, acute care, long term care, home health . + Case Management experience preferred. **LICENSES AND CERTIFICATIONS ... data management support to the department staff to facilitate efficient utilization of resources including referrals management, communication and collaboration with… more